MARY DEANNE MONSON (NURSE PRACTIONER) – Family Nurse Practitioner, NPI 1346097367

MARY DEANNE MONSON (NURSE PRACTIONER) is a healthcare provider. based in Bluffdale, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTIONER. They hold a License No. 9260069-4405 (UT). The NPI Number for MARY DEANNE MONSON (NURSE PRACTIONER) is 1346097367

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARY DEANNE MONSON (NURSE PRACTIONER)
NPI
1346097367
Phone
(801) 592-5667
Address
14308 S CLASSIC CV
Enumeration Date
6 May 2024
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195871001
Graduation Year
2023 (3 years ago)
PAC ID
6507390911
Group Practice PAC ID
5991609067
Professional Enrollment ID
I20250611000854
Address ID
CO811441432MO925XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MARY DEANNE MONSON (NURSE PRACTIONER)

  • 14308 S CLASSIC CV

    BLUFFDALE, UT 840655440

    Phone: (801) 592-5667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: MIMEDX Group, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MIMEDX Group, Inc.$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241107002651INurse PractitionerUTTBD
I20250611000854INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991609067View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Physician AssistantNM
Family PracticeCO
-NM
Emergency Medicine, Family PracticeTX
Physician AssistantCO
-CO
Mental Health CounselorCO
Physician AssistantCO

Reviews

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Frequently asked questions

Where can patients find MARY DEANNE MONSON (NURSE PRACTIONER)'s NPI?
You can confirm MARY DEANNE MONSON (NURSE PRACTIONER) with NPI 1346097367; it appears in the national provider directory.
Is MARY DEANNE MONSON (NURSE PRACTIONER)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARY DEANNE MONSON (NURSE PRACTIONER) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MARY DEANNE MONSON (NURSE PRACTIONER). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY DEANNE MONSON (NURSE PRACTIONER)?
The page summarizes Bluffdale, Utah for MARY DEANNE MONSON (NURSE PRACTIONER); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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